PERSONS WITH DISABILITIES REGISTRATION PORTAL
Name
Phone
Sex
Male
Female
Blood Group
A+
A−
B+
B−
AB+
AB−
O+
O−
Academic Qualification
BS.c
B.Ed
OND
HND
Masters
NCE
SSCE
FSLC
Others
Date of Birth
Marital Status
Single
Married
Separated
Divorced
Widow
Religion
Muslim
Christian
Others
House address
Address (Use Popular Landmark)
State
Select State
LGA
Select LGA
Types of Disabilities
Blind
Deaf
Autism Spectrum Disorder
SCI/D
Mental Health Conditions
Physical Disability
Dyslexia
Lymphedema
Albinism
Leprosy
Dwarfism
Cerebral Palsy
Others
Occupation
Passport Photograph